23D-096 • ^�
File#MP-2000-0146
APPLICANT/CONTACT PERSON KEEFE LOIS
ADDRESS/PHONE 85 WOODS RD (413)586-1457()
PROPERTY LOCATION KENSINGTON TERR
MAP 23D PARCEL 096 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ILLED OUTS
•ding Permit Filled out
Fee Paid
Typeof Construction: BUILDABLE LOT-2 FLAG LOTS AVAILABLE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented: N l S PC551LE ko olm\yrDE I A
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
l/Variance Required under: § • )--- w/ZONING BOARD OF APPEALS /1-/':, %`Z4 G'r_
/i./ /J/R
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Co • sion Permit from CB Architecture Committee
——---7"_. --.-n,-. .'.--7.:_... ._..,..,, .. /5--:" - -":#.-e--'--e7. 2/ s____,-/2_-7/1"00%3
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
MAR 2 12000 1-]
DEPT OF BUILDING INSPECTIONS ) File No./4/01 /7%
NORTHAM TON, MA 01060
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 6/efuJ 37 X-'2 _..
Address: 2S &)/ Od% /gd_ T-72a ii6.5,Melephone: 6R6 / �57
2. Owner of Property: . ( a c,1i2LG1 v_i.2.
Telephone:
Address:
'` Un 52 - /S/,S7
lu �' �( �� N 7 'l
3. Status of Applicant: Owner Contract Purchaser Lessee
X Other(explain): A U'L� .. y u.A.,
4. Job Location: -- Q
Parcel Id: Zoning Map# �C5P Parcel# 947 District(s): it!'..4... T
(TO BE FILLED IN BY THE BUILDING,IL DEPARTMENT)
5. Existing Use of Structure/Property \1Q,-Zi 1.f- -6A4Ld
6. Description of Proposed Use/Work/Pr ject/O cupation: (Use additional sheets if nece ary):
�Lf/ai?t 'yU ,C--71�./.i� ,D -e-a 'a2. b�GC c .�J .ett?'c-P
ll)o-c; .. z 4 to t ) .V .4 f- h.Ts an. ava ‘/.
Z2d-- a0 /ems). jar) la,)la 22, 6
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW X YES IF YES,date issued: _
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW X YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO . DON'T KNOW X YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
10. Do any signs exist on the property? YES NO X
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO X
IF YES, describe size,type and location:
I1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to ba filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size /) 3 9 e- a /� 3 9g 407)
_ ot-fl'esq --
Frontage ( 5
Setbacks - frnnt 49"c9
- side L: R: L: R: /S
- rear
Z2--0
Building height 35
Bldg Square footage 20
%Open Space:
(Lot area minus bldg -b
&paned parking)
# of Parking Spaces
# of Loading Docks
Fill:
(volume-& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: �� APPLICANT'S SIGNATURE - 6
NOTE: I us' oe of a zoning permit does not relieve an applioa s burd n to comply with el.
zoning requirements end obtain all required permits from the Board of Health, Conservetio
Commission, Department of Pubiio Works and other applicable permit granting authorities.
FILE I